Transactional sex and its associated factors among gay, bisexual and other men who have sex with men in Nepal.

IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES
Sexual health Pub Date : 2024-10-01 DOI:10.1071/SH24178
Md Safaet Hossain Sujan, Kiran Paudel, Kamal Gautam, Antoine Khati, Jeffrey Wickersham, Manisha Dhakal, Toan Ha, Roman Shrestha
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Abstract

Background Transactional sex, which involves the exchange of sex for money, goods or other items of value, has been associated with adverse health outcomes, such as HIV and other sexually transmitted infections, mental health challenges, and substance use. Although transactional sex has been extensively studied globally among cisgender and transgender women, there is a lack of comprehensive understanding regarding its prevalence and correlates among gay, bisexual and other men who have sex with men (GBMSM), particularly in Nepal. Thus, this study aimed to examine the prevalence of transactional sex and its associated factors among GBMSM in Nepal. Methods A cross-sectional survey was conducted among GBMSM in Kathmandu Valley, Nepal, between October and December 2022 (N =250). We collected information on participants' sociodemographic characteristics, sexual and other behavioural characteristics, and their engagement in transactional sex. Bivariate and multivariate logistic regression analyses were performed to determine the factors associated with transactional sex. Results The average age of participants was 27.5years (s.d. 8.9). Overall, 16.4% reported engaging in transactional sex within the past 6months. Participants with more financial dependants (aOR: 1.2, 95% CI: 1.0-1.5) and those who had experienced police detention (aOR: 4.8, 95% CI: 1.1-19.6) were more likely to engage in transactional sex. In contrast, GBMSM who reported engaging in condomless sex were less likely to engage in transactional sex (aOR: 0.02, 95% CI: 0.06-0.1). Conclusions The study findings underscore a noteworthy prevalence of transactional sex and associated socioeconomic and behavioural factors among GBMSM in Nepal. These results underscore the need for targeted interventions addressing both economic vulnerabilities and legal interactions to reduce transactional sex and its associated risks in this high-risk group.

尼泊尔男同性恋、双性恋和其他男男性行为者中的性交易及其相关因素。
背景性交易涉及以性换取金钱、物品或其他有价值的物品,它与不良的健康后果有关,如艾滋病毒和其他性传播感染、心理健康挑战和药物使用。尽管在全球范围内,对顺性和变性女性的性交易行为进行了广泛的研究,但对男同性恋、双性恋和其他男男性行为者(GBMSM)中的性交易行为发生率及其相关因素却缺乏全面的了解,尤其是在尼泊尔。因此,本研究旨在探讨尼泊尔男同性恋、双性恋和其他男男性行为者中性交易的发生率及其相关因素。方法 2022 年 10 月至 12 月期间,我们对尼泊尔加德满都谷地的 GBMSM 进行了横断面调查(N =250)。我们收集了参与者的社会人口学特征、性行为和其他行为特征,以及他们参与性交易的情况。我们进行了二元和多元逻辑回归分析,以确定与性交易相关的因素。结果 参与者的平均年龄为 27.5 岁(标准差为 8.9)。总体而言,16.4% 的参与者表示在过去 6 个月内发生过性交易。有较多经济依赖的参与者(aOR:1.2,95% CI:1.0-1.5)和曾被警方拘留的参与者(aOR:4.8,95% CI:1.1-19.6)更有可能从事性交易。相比之下,报告发生过无安全套性行为的 GBMSM 发生性交易的可能性较低(aOR:0.02,95% CI:0.06-0.1)。结论 研究结果表明,在尼泊尔的女性同性恋者中,性交易以及相关的社会经济和行为因素非常普遍。这些结果表明,有必要针对经济脆弱性和法律互动采取有针对性的干预措施,以减少这一高风险群体中的性交易及其相关风险。
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来源期刊
Sexual health
Sexual health 医学-传染病学
CiteScore
2.30
自引率
12.50%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.
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